About Sarah
Sarah Tremblay is a Washington-licensed mental health counselor with 18 years of experience. She focuses on helping people manage stress, anxiety, grief, low self-esteem, and major life changes. Her approach aims to make therapy practical and relatable for everyday challenges.
She draws on client-centered methods to create a respectful, listening-focused space. Cognitive Behavioral Therapy is used to identify unhelpful thoughts and try small changes that can improve mood and behavior.
How Sarah works
Motivational Interviewing supports people who are feeling stuck and helps build momentum toward goals. Sarah has worked across medical, caregiving, and community settings and brings that experience into sessions. She supports people coping with caregiving stress, chronic illness, and the emotional fallout of life transitions.
She also addresses intimacy-related concerns, family and relationship stress, parenting questions, and career or work-related strain. Sessions tend to be straightforward and task-focused when helpful. Sarah helps people break problems into manageable steps and practices new skills between meetings.
She also uses listening and reflection when people want space to process emotions. People meet with her for help with depression, bipolar concerns, anger, body image, abandonment issues, and adjustment after separation or loss. She works with adults who want coaching-style guidance as well as traditional therapy.
All sessions are conducted in English and are based in Washington state.
Sarah lists 3 ways of working on the entry:
What Sarah works with
The areas below are the ones Sarah selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
Also listed
- Abandonment
- Aging and geriatric issues
- Anger management
- Attachment issues
- Autism and Asperger Syndrome
- Bipolar disorder
- Blended family issues
- Body image
- Cancer
- Career difficulties
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Coaching
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Coping with life changes
- Coping with natural or human-caused disaster
- Depression
- Divorce and separation
- Emptiness
- Family conflicts
- First responder issues
- Forgiveness
- Guilt and shame
- Hospice and end-of-life counseling
- Intellectual disability
- Intimacy-related issues
- Isolation / loneliness
- Jealousy
- Life purpose
- Mood disorders
- Parenting issues
- Relationship issues
- Seasonal Affective Disorder (SAD)
- Self-love
- Veteran and Armed Forces Issues
- Women's issues
- Workplace issues
Training and background
| Register | LMHC |
|---|---|
| Years in practice | 18 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | Washington |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
How these approaches work in online sessions
Client-Centered Therapy emphasizes listening and collaboration. The therapist reflects what a person says and helps them find their own path forward, which is useful for processing grief, relationship stress, and major life changes.Cognitive Behavioral Therapy (CBT) focuses on spotting unhelpful thoughts and testing small behavior changes. Online CBT sessions often include short exercises and home practice to reduce anxiety, depression, or anger, and to build coping skills.
Motivational Interviewing helps people who feel stuck or unsure about change. The therapist uses questions and reflection to strengthen motivation and clarify goals, which can support career shifts, health behavior changes, or recovery from setbacks.
Finding the right approach is part of the work. The therapist will discuss goals, preferences, and what feels most useful, and then tailor methods together. That collaborative process helps shape a plan that fits each person's needs.
Online formats offer practical flexibility. Video calls allow face-to-face conversation and visual cues. Phone sessions use less bandwidth and can fit a break at work. Live chat and text-based messaging are helpful for brief check-ins, written reflection, or when typing feels easier than talking. These options make it simpler to keep therapy consistent around a busy life.
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Common questions
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A practical next step
Write down two things you would want to be different in six months. That is the most useful thing to bring to a first session, whoever it is with. If you would rather start now than keep reading, online sessions are the quickest route.
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